Basil Abdo MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301081899 Issued in MI

Legal business name

BASIL ABDO MD PLLC

Doing business as

Alfp

Practice address

24224 Joy Rd
Suite 100
Redford, MI 48239-1215

Phone

(313) 561-9090

Fax

(313) 561-3646

NPI assigned

Jul 22, 2016

Last updated

Jul 22, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Basil Abdo, M.D.NPI 1730121443

Title

Owner

Phone

(313) 561-9090

Specialties & licenses 1

Addresses

Other names 1

• ALFP Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Basil Omar Abdo, MD

  • Family Medicine Physician
  • Redford, MI
  • NPI 1730121443
  Medicare reassignment NPD Authorized official
• Manaal Khan, PA-C

  • Physician Assistant
  • Redford, MI
  • NPI 1932861648
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1215380456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24224 JOY RD",
            "address_2": "SUITE 100",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391215",
            "telephone_number": "313-561-9090",
            "fax_number": "313-561-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24224 JOY RD",
            "address_2": "SUITE 100",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391215",
            "telephone_number": "313-561-9090",
            "fax_number": "313-561-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIL ABDO MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "ABDO",
        "authorized_official_first_name": "BASIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-561-9090",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301081899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALFP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheneta Barber
• Natalia Barna, MSW
• Ernest Barnabas
• Meloney Barney, LPN
• Vanessa Barrus, PA-C
• Christine M Bauman, PA-C
• Lori Baumann Remesz, SW
• David Baxter, M.A.
• Sharon Bean-Sargent
• Beauty for Ashes Crisis and Counseling Service

• Family Medicine Physician in Redford, MI
• Providers in Redford, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.